Carol Anne Kennedy, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-09933 Issued in MS

Practice address

1497 Canton Mart Rd
Jackson, MS 39211-5435

Phone

(601) 956-2421

Fax

(601) 978-3929

NPI assigned

Oct 18, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bond Pharmacy Inc

  • Home Infusion Therapy Pharmacy
  • Ridgeland, MS
  • NPI 1336243393
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Jackson, MS
  • NPI 1154337624
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1235414566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 HIGHLAND COLONY PKWY",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576076",
            "telephone_number": "601-988-1700",
            "fax_number": "601-988-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 CANTON MART RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115435",
            "telephone_number": "601-956-2421",
            "fax_number": "601-978-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-09933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Kendrick
• Carly Kendrick
• Daryl Kendrick, ATC-L, CSCS
• Jennifer Lashelle Kennard, D.O.
• Kennedy Behavioral Health Center, LLC
• Charles Reggie Kennedy Sr., CERTIFIED ORTHOTIST
• Daniel Kennedy, M.D.
• Daniel Davis Kennedy, MD
• John L Kennedy Jr., M.D.
• Kevin D Kennedy, PT

• Pharmacist in Jackson, MS
• Providers in Jackson, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.